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General NPI Number Information
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NPI Number | 1013069970
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Entity Type | Organization
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Legal Business Name | JEPSON DRUGS LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 310 N PROGRESS AVE SUITE #10
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761
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Country | US
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Telephone | 479-524-4311
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Fax | 479-524-6173
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Provider Business Mailing Address
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Address Line | 310 N PROGRESS AVE SUITE #10
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761
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Country | US
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Telephone | 479-524-4311
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Fax | 479-524-6173
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE, CO-OWNER
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Name | SETH WILSON
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Credential | PHARMD
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Telephone | 479-524-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR06062
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License Number State | AR
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